Professional Billing Project Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Assist with Epic Resolute Professional Billing and the operations of the healthcare revenue cycle.

• Diagnose issues related to professional billing charges, pinpoint root causes, and facilitate prompt resolutions.

• Aid in post-go-live stabilization endeavors, ensuring organizations achieve their anticipated operational and financial outcomes.

• Evaluate revenue cycle workflows, system configurations, work queues, interfaces, and downstream effects that influence charge capture and billing.

• Oversee various issues and workstreams, encompassing prioritization, ownership, escalation, risk monitoring, and executive status reporting.

• Analyze operational and system data, recognize trends, and convert insights into actionable corrective plans.

• Communicate progress, risks, and recommendations to executive stakeholders, including CFO and Revenue Cycle leadership.

• Collaborate with teams in revenue cycle operations, finance, IT, Epic applications, and other internal and external partners.

• Create executive-level status reports, dashboards, issue logs, and remediation strategies.

• Address charging issues and enhance revenue cycle performance following an Epic go-live.

• Navigate the complexities and rapidly evolving priorities of clients within a consulting framework.

⛳️ Requirements

• A minimum of 5 years of professional experience in supporting Epic Resolute Professional Billing and healthcare revenue cycle operations.

• Valid Epic Resolute PB certification.

• Extensive experience in troubleshooting professional billing charge issues, determining root causes, and orchestrating timely resolutions.

• Proven experience in supporting post-go-live stabilization efforts to help organizations revert to expected operational and financial performance.

• Demonstrated capability to evaluate revenue cycle workflows, system configurations, work queues, interfaces, and downstream impacts affecting charge capture and billing.

• Experience in managing multiple issues and workstreams, including prioritization, ownership, escalation, risk tracking, and executive status reporting.

• Strong understanding of professional billing workflows, such as charge capture, claims processing, denials, payment posting, accounts receivable, and revenue reconciliation.

• Ability to analyze operational and system data, identify trends, and articulate findings into concise corrective action plans.

• Excellent communication and presentation skills, capable of informing executive stakeholders, including CFO and Revenue Cycle leadership, about progress, risks, and recommendations.

• Proficient in collaborating with revenue cycle operations, finance, IT, Epic application teams, and other internal and external stakeholders.

• Experience serving as a project manager, team lead, or senior advisor during an Epic implementation or post-go-live stabilization phase.

• Background in supporting complex healthcare organizations with multiple facilities, billing entities, or service lines.

• Proven track record in resolving charging issues and enhancing revenue cycle performance post Epic go-live.

• Experience in developing executive-level status reports, dashboards, issue logs, and remediation plans.

• Strong knowledge of revenue cycle performance indicators, including charge lag, claim edits, denial trends, accounts receivable, and cash collections.

• Experience in a consulting environment and adept at managing unclear or rapidly changing client priorities.

• Legally authorized to work in the United States without requiring sponsorship.

🏝️ Benefits

• Competitive salary and hybrid compensation packages.

• Comprehensive health care plan (Medical, HSAs, Dental & Vision).

• Retirement plan (401k).

• Life insurance options (Basic, Voluntary & AD&D).

• Dependent and health savings accounts.

• Short-term and long-term disability coverage.

• Paid time off (Vacation/Sick & Public Holidays).

• Training and development fund.

• Technology stipends for qualifying roles.

• Flexible work-from-home options.

• Opportunities for charitable giving to causes you are passionate about.